SDSC JUV-270 (New 2/18) PROTECTIVE CUSTODY WARRANT Page 1 of 2 Mandatory Form ATTORNEY OR PARTY WITHOUT ATTORNEY (Name, State Bar number, and address): TELEPHONE NO.: FAX NO.(Optional): E ATTORNEY FOR (Name): FOR COURT USE ONLY SUPERIOR COURT OF CALIFORNIA, COUNTY OF SAN DIEGO CENTRAL DIVISION, JUVENILE COURT, 2851 MEADOW LARK DR., SAN DIEGO, CA 92123 EAST COUNTY DIVISION, 250 E. MAIN ST., EL CAJON, CA 92020 NORTH COUNTY DIVISION, 325 S. MELROSE DR., SUITE 130, VISTA, CA 92081 IN THE MATTER OF A MINOR PETITIONER(S) DSS NO.: CASE NO.: DEPT. NO.: PROTECTIVE CUSTODY WARRANT FINDINGS AND ORDERS Child222s Name: Child222s DOB: Based on the application presented to the court by the social worker in this matter, the court makes the following findings and orders: 1. There is probable cause to believe that the child is, or appears to come, within the description of Welf. & Inst. Code 247 300. 2. Continuance in the home is contrary to the child222s welfare. 3. There is probable cause to believe: Protective Custody Warrant Under WIC 247 340(a) The child should be placed into protective custody because: (1) The child222s physical environment poses an imminent threat to the child222s health or safety and there are no reasonable means by which the child can be protected without temporary removal from the physical custody of the parents or guardians. The child has left a placement in which he or she was placed by the Juvenile Court. (b) Protective Custody Warrant Under WIC 247 340(b) Temporary removal of the child from the home by Child Welfare Services and/or law enforcement investigators is required under Welf. & Inst. Code section 340(b) because all the following are true: the child is a person described by Welf. & Inst. CodeAmerican LegalNet, Inc. www.FormsWorkFlow.com SDSC JUV-270 (New 2/18) PROTECTIVE CUSTODY WARRANT Page 2 of 2 Mandatory Form IN THE M ATTER OF: CASE NUMBER: IT IS HEREBY ORDERED THAT: (a) A Protective Custody Warrant shall be issued for the child named above. Petitioner222s agency and/or law enforcement are authorized to enter the child222s home in order to serve the warrant. (b) Night Search approved: Yes No Good cause for night service of this warrant having been established in the supporting application, this warrant may be executed at any hour of the day or night. (c) Hobbs Sealing approved: Yes No (d) The Agency222s Application is denied because the request fails to state facts sufficient to establish probable cause. IT IS SO ORDERED. Date: Judge of the Superior Court American LegalNet, Inc. www.FormsWorkFlow.com